Ramanda Raquel Dace, FNP-C | |
105 Sutter Dr, Terry, MS 39170-5032 | |
(601) 454-2952 | |
Not Available |
Full Name | Ramanda Raquel Dace |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 105 Sutter Dr, Terry, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104492586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN291913 (Georgia) | Primary |
Entity Name | The Family Health Centers Of Georgia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720080989 PECOS PAC ID: 2062406903 Enrollment ID: O20040413000807 |
Mailing Address | Practice Location Address |
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Ramanda Raquel Dace, FNP-C 105 Sutter Dr, Terry, MS 39170-5032 Ph: (601) 454-2952 | Ramanda Raquel Dace, FNP-C 105 Sutter Dr, Terry, MS 39170-5032 Ph: (601) 454-2952 |
Jennifer Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1262 Kimbell Rd, Terry, MS 39170 Phone: 601-218-7141 | |
Ms. Gloria A Ogiamien, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 W. Raymond Street, Terry, MS 39170 Phone: 601-878-5115 Fax: 601-878-5164 | |
Mrs. Marisa Nicole Barlow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 N Oak Cv, Terry, MS 39170 Phone: 601-622-1138 |